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I am pretty far, though I feel like some of the choices should be removed if it doesn't affect anything. (Like refusing to do something for Rohary for the liver transplant on both times you talk to her, I refused the deal on both times, but the game continues as if I made said deal. Which is weird.)

That's a good call. Usually, it unlocks a hidden scene that explains a bunch of stuff. For some reason said scene doesn't always trigger thus leaving players confused.

I'll look into it for the coming update.

A friend of mine said it played properly for them, unless my version is old. Regardless I have a random question. For those you can choose to give the drug, (I didnt for Lily and Sarah.) on the good path, would they be detoxed or something?

Keep playing - all will be revealed.

In short - there is a plan. How it works and plays out will evolve over the next few updates.

(+1)

Alrighty. Either way things seem to be going fine so, all is good.